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South Dakota rates for HCPCS J2690

Injection, procainamide HCl, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.69 / $294.69 / $294.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.26 / $294.69 / $294.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.69 / $292.58 / $362.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.65 / $328.40 / $600.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.32 / $194.32 / $294.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.81 / $233.18 / $341.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.24 / $161.72 / $274.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.49 / $322.49 / $322.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $294.69 / $324.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.32 / $194.32 / $194.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.32 / $194.32 / $194.32